Provider Demographics
NPI:1952461402
Name:CRAIG, JANE WEINMAN (MD)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:WEINMAN
Last Name:CRAIG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1070 IYANNOUGH ROAD
Mailing Address - Street 2:IORA PRIMARY CARE
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601
Mailing Address - Country:US
Mailing Address - Phone:508-948-3400
Mailing Address - Fax:844-715-7919
Practice Address - Street 1:525 LONG POND DR
Practice Address - Street 2:
Practice Address - City:HARWICH
Practice Address - State:MA
Practice Address - Zip Code:02645-1227
Practice Address - Country:US
Practice Address - Phone:508-430-3322
Practice Address - Fax:508-432-8951
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2019-11-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA230859207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110077343AMedicaid
MA000236701Medicare PIN